2026-04-19T12:58:55Zhttps://riubu.ubu.es/oai/requestoai:riubu.ubu.es:10259/100742025-03-28T12:12:44Zcom_10259_7906com_10259_5086com_10259_2604col_10259_8017
Saraiva, María do Rosario
7196f9b9-4781-4ec2-978e-c58a0cc0c94e
600
Sáiz Vázquez, Olalla
886
600
0000-0003-3602-332X
Ortiz Huerta, Juan Hilario
629
600
0000-0002-5729-368X
Santamaría Vázquez, Montserrat
585
600
0000-0003-3236-3394
2025-01-29T13:12:49Z
2025-01-29T13:12:49Z
2024
1863-9933
http://hdl.handle.net/10259/10074
10.1007/s00068-024-02579-8
1863-9941
Artículo de revisión
Human hands have a complex anatomical structure. The thumb, being an integral part of the hand, has an essential function in gripping. In this sense, thumb fractures account for 4% of all hand fractures (it may occur in association with fractures of the trapezium). The majority of hand fractures should be treated non-surgically and surgeons must avoid unnecessary surgery. Historically, hand surgery has used a combination of local/regional/general anaesthesia and a tourniquet. This study aims to carry out a systematic review to determine whether the WALANT technique is an advantageous alternative to conventional anaesthesia for surgical procedures on thumb injuries, in terms of patient function and pain. Method: We conducted a search in the following databases: Pubmed/Medline, EBSCOhost, Web of Science, Scopus, ScienceDirect and Google Scholar, using the equation "WALANT" OR "Wide Awake Local Anesthesia No Tourniquet" AND "thumb pathology". Results: In five of the 584 articles included, two studied trapeziometacarpal osteoarthritis, one De Quervain's disease and the remaining two flexor injuries. WALANT showed good results in active movements, but with similar levels of pain between anaesthetics. Patients were more anxious during general anaesthesia, plus the fact that they were fasting and suspending medication. Conclusion: WALANT is a convenient and favourable option in several studies. It has been demonstrated the benefits in terms of return to function and pain.
Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. This study was not funding.
application/pdf
eng
Springer
European Journal of Trauma and Emergency Surgery. 2024, V. 50, n. 6, p. 2833-2842
https://doi.org/10.1007/s00068-024-02579-8
Atribución 4.0 Internacional
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
(DeCS terms) pain
Thumb
Local anaesthesia
Tourniquet
Wounds and injuries
General anaesthesia
Terapia ocupacional
Rehabilitación
Occupational therapy
Rehabilitation
The wide-awake local anesthesia no tourniquet (WALANT) technique in thumb injuries: a systematic review
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
European Journal of Trauma and Emergency Surgery
50
6
2833
2842
THUMBNAIL
Rosario-ejtes_2024.pdf.jpg
Rosario-ejtes_2024.pdf.jpg
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image/jpeg
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https://riubu.ubu.es/bitstream/10259/10074/4/Rosario-ejtes_2024.pdf.jpg
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LICENSE
license.txt
license.txt
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https://riubu.ubu.es/bitstream/10259/10074/3/license.txt
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https://riubu.ubu.es/bitstream/10259/10074/2/license_rdf
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ORIGINAL
Rosario-ejtes_2024.pdf
Rosario-ejtes_2024.pdf
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https://riubu.ubu.es/bitstream/10259/10074/1/Rosario-ejtes_2024.pdf
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10259/10074
oai:riubu.ubu.es:10259/10074
2025-03-28 13:12:44.924
Repositorio Institucional de la Universidad de Burgos
bubrep@ubu.es
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